Changing an appliance

Resuming a normal life: holistic care of the person with an ostomy

“…Stoma training quickly enables the ostomate to gain independence with their stoma care and involves a number of simple steps. These steps are basically as follows (although can vary): w Explain the procedure to the patient and gain their consent w Collect all the stoma equipment (clean appliance, measuring guide (if needed), pen (if needed), scissors (if needed), cleaning/drying clothes or kitchen roll, warm tap water without soap and a disposal bag w Empty the appliance if drainable w Gently remove the old appliance, supporting the abdominal skin with one hand w Join the edges of the flange together to contain the stomal output and place in the disposable bag w Gently but thoroughly clean and dry the peristomal skin (being gentle with the actual stoma, which will easily bleed, the stoma may also be active during this time) w Measure the stoma (as the size can reduce in the first eight weeks or with weight loss and can conversely increase in diameter if weight is gained) w Cut the appliance to the required shape and size (ideally 2-3 mm larger than the stoma) w Remove the flange backing w Apply the flange to the peristomal skin w Secure the adhesive to the skin by pressing firmly (start at the stoma and work outwards) w If a two-piece appliance is used attach the bag w Hold the appliance onto the abdomen for 30-60 seconds to aid adhesion w Ensure the fastening is closed (if appropriate) w Seal the rubbish bag and dispose of it w Wash hands w Avoid bending the abdomen for ten minutes after application to help adhesion (Trainor et al, 2003;Breckman, 2005;Rust, 2007). The ostomate is also taught what is normal in respect of their stoma, for example in appearance and stomal output.…”

Assistência de enfermagem ao estomizado intestinal: revisão integrativa de literatura

“…O estudo aborda as características normais da estomia (tamanho, produção e ruídos de funcionamento), descreve a técnica correta para escolha, troca e aplicação dos equipamentos e aponta as causas mais comuns de lesões periestomas 61 .…”